Earlene Bohannon RN

NPI 1003971821 - Registered Nurse - 163W00000X

NPI Details
NPI 1003971821
Gender Female
Enumeration Date 12/22/2006
Last Updated 06/03/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
725 HIGHLAND AVE
WINSTON SALEM NC, 27101-4206, US
Phone (336) 768-7200
Fax (336) 768-7200
Business Location
1100 S STRATFORD RD
WINSTON SALEM NC, 27103-3217, US
Phone
Fax
Toxanomy
Taxonomy Code 163W00000X
License State North Carolina
License Number 122684
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According to our database, Earlene Bohannon RN NPI is 1003971821, taxonomy code is 163W00000X and license number is 122684, license state is located at North Carolina. Earlene Bohannon RN physically located at 725 Highland Ave, Winston Salem NC, 27101-4206. NPI Number Earlene Bohannon RN has the Individual type.

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1003971821 NPI number is provided on an as is basis without warranty of any kind. 1003971821 is maintained by the National Plan & Provider Enumeration System. The contents of Earlene Bohannon RN are for informational purposes only.